| NPI | 1003327834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209016609) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016609) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2021-08-31 |