| NPI | 1295353308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021461) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020019717) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2021-02-10 |