| NPI | 1538992565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029840) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 209.029840) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-11-05 |