| NPI | 1265109409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023957) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A165295) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2023-08-18 |