| NPI | 1114463049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001290) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015381) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2023-06-15 |