| NPI | 1255980710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018024048) |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2019-09-08 |