| NPI | 1225493364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015066) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041327709) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2022-06-03 |