| NPI | 1205455763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021133) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IL 041378652) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-10-21 |