| NPI | 1780145151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019069) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041.421182) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-04-03 |