| NPI | 1245991397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027788) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014290A) |
| 163W00000X Registered Nurse (Licence: IL 041430715) | |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2024-01-31 |