| NPI | 1548899917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041424540) |
| 163W00000X Registered Nurse (Licence: MI 4704281881) | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2021-09-17 |