| NPI | 1376284091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024080) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.418982) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-08-02 |