| NPI | 1164024808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022388) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.022388) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2024-01-04 |