| NPI | 1134773229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001472) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019544) |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2021-12-29 |