| NPI | 1013481076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209017974) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041388470) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2019-10-09 |