| NPI | 1043941123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027039) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11020207) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2024-08-20 |