| NPI | 1174739205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-006817) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041325897) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-07-02 |