| NPI | 1962874032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013649) |
| 163W00000X Registered Nurse (Licence: IL 041358468) | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2023-09-12 |