| NPI | 1922676675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021022247) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2023-12-19 |