| NPI | 1588083844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209011231) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 277002760) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-12-03 |