| NPI | 1821472044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A164096) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2021-07-10 |