| NPI | 1962977223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188120) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020757) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2025-01-24 |