| NPI | 1982453551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.469021) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-11-07 |