| NPI | 1730828062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025695) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209025695) |
| 363L00000X Nurse Practitioner (Licence: MI 4704386596) | |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2024-02-14 |