| NPI | 1578844478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008993) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209008993) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2022-07-21 |