| NPI | 1568791234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007168) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209007168) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2024-03-28 |