| NPI | 1760114342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025322) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11025095) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2024-03-25 |