| NPI | 1508415951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.001625) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-019990) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2024-08-04 |