| NPI | 1316673197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022145) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.022145) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2024-02-07 |