| NPI | 1063994887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 209017561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041391562) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |