| NPI | 1154924827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022218) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209022218) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2023-03-03 |