| NPI | 1033543129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209010594) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041337837) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2020-09-03 |