| NPI | 1114417391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001639) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 12345678) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-02-23 |