| NPI | 1982048864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 318924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010284) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2025-03-20 |