| NPI | 1629720891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024720) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A167102) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2024-02-20 |