| NPI | 1760246839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041387420) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2025-01-03 |