| NPI | 1558740167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 209012446) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209012446) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209012446) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2024-03-11 |