| NPI | 1073969044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209014230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041330758) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2019-11-25 |