| NPI | 1528712858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024816) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041438868) |
| Enumeration Date | 2022-02-06 |
| Last Update Date | 2023-01-17 |