| NPI | 1205343514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017014) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2023-02-23 |