| NPI | 1831614916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016707) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041401585) |
| 363L00000X Nurse Practitioner (Licence: IL 209016707) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2023-10-06 |