| NPI | 1124737119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209026184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026184) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-02-09 |