| NPI | 1033476080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16661) |
| 363L00000X Nurse Practitioner (Licence: IL 209009526) | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2023-06-20 |