| NPI | 1336619782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018555) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2018035985) |
| 363L00000X Nurse Practitioner (Licence: IL 209018555) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2018035985) | |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2021-10-25 |