| NPI | 1922299742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209006790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 309-001477) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2023-10-04 |