| NPI | 1215719380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029424) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.536425) |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2024-09-24 |