| NPI | 1144237389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000270) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 377000270) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-12-16 |