| NPI | 1003361619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014617) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2022-01-18 |