| NPI | 1083299390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.022425) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2023-03-24 |