| NPI | 1962184507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028135) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.382820) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-23 |