| NPI | 1528504909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001291) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015329) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2024-01-10 |