| NPI | 1710621289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025079) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: IL 209025079) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-09-26 |