| NPI | 1437871928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL F06221470) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-07-08 |