| NPI | 1790391977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021732) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020024176) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209021732) | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2023-03-31 |