| NPI | 1013348069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041371525) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2022-09-27 |