| NPI | 1669022182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019266) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019266) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2024-03-29 |