| NPI | 1558020826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-024611) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041402669) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-03-16 |