| NPI | 1477180149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-002905) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.421329) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.021080) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-03-20 |