| NPI | 1407908015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-001105) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.001105) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-01-29 |