| NPI | 1053860320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209014478) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2016023932) |
| 363L00000X Nurse Practitioner (Licence: IL 209014478) | |
| 363L00000X Nurse Practitioner (Licence: IL 277000670) | |
| 363LF0000X Nurse Practitioner Family (Licence: MO 2016023932) | |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2024-08-21 |