| NPI | 1043963952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021345) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209018264) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |