| NPI | 1821448077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.014318) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209014318) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2025-04-02 |