| NPI | 1003468646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018516) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041432733) |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2021-09-20 |