| NPI | 1124502224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018520) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28169646A) |
| 163W00000X Registered Nurse (Licence: IL 041358938) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71008641A) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2020-10-22 |