| NPI | 1225806094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029279) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041450134) |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-02-15 |