| NPI | 1396239596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000839) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017612) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-03-06 |