| NPI | 1174217400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027961) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 04144638) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-05-29 |