| NPI | 1720745599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-024446) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.453325) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2024-06-05 |