| NPI | 1710365085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012036) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209012036041364106) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2024-01-03 |