| NPI | 1922595412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017022) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 209.017022) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2023-10-25 |