| NPI | 1821596503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016817) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209016817) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2024-01-08 |