| NPI | 1205440948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021901) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-021901) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-10-16 |