| NPI | 1285340984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-027089) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041324202) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-05-16 |