| NPI | 1306248646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277-000807) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041-335162) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209011553) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277-000807) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2024-11-26 |