| NPI | 1013663160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012013378) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-07-28 |