| NPI | 1285224998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 041.376536) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209022420) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-02-05 |