| NPI | 1013669373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024458) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL F10210892) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-20 |