| NPI | 1316775042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028461) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 209028461) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-10-10 |