| NPI | 1902471444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041341686) |
| 363L00000X Nurse Practitioner (Licence: IL 209022952) | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2024-11-01 |