| NPI | 1922400084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000274) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041296646) |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2019-11-05 |