| NPI | 1811651060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 2021035054) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2022-06-13 |