| NPI | 1073049722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023314) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209015881) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2023-05-10 |