| NPI | 1164771242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001937) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021510) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 277000968) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2024-09-02 |