| NPI | 1730545583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001474) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013503) |
| Enumeration Date | 2016-01-10 |
| Last Update Date | 2022-05-25 |