| NPI | 1235520404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041492306) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014567) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2024-09-26 |