| NPI | 1073924015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001756) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011388) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2023-10-06 |