| NPI | 1679256093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028025) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209.028025) |
| 207Q00000X Family Medicine (Licence: IL 209028025) | |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2024-02-13 |