| NPI | 1831829894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209026601) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.355140) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2023-01-19 |