| NPI | 1215472329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015366) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000396) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2023-06-01 |