| NPI | 1326631292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209030237) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: IL 041436654) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2024-08-24 |