| NPI | 1245947803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026908) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041398604) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2023-05-18 |