| NPI | 1154072817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 029029249) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041414001) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2024-02-12 |