| NPI | 1730565870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012987) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 270405) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2024-08-20 |