| NPI | 1588273916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 2090217177) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209021717) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2021-12-28 |