| NPI | 1992363584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.027510) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041414184) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2024-10-25 |