| NPI | 1073824504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-000732) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277-000732) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 041281123) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2025-02-26 |