| NPI | 1477119006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041354908) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2020-07-14 |