| NPI | 1538676499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041424998) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2023-04-10 |