| NPI | 1952880536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 377.003236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.003415) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2025-03-07 |