| NPI | 1497364053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021513) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 209021513) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209021513) | |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-08-04 |