| NPI | 1275260499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025984) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 2022045565) |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2023-05-15 |