| NPI | 1053790345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001363) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011876) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2024-12-13 |