| NPI | 1992188288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2015011478) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209014916) |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2022-12-19 |