| NPI | 1154949857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024591) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: IL 041436212) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2022-08-23 |