| NPI | 1710518238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 2029020899) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 10147-33) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2025-01-28 |