| NPI | 1780338145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024712) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.024712) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-06-06 |