| NPI | 1982172334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209017911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60901515) |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2020-09-23 |