| NPI | 1336715895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023854) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 68266) |
| 363L00000X Nurse Practitioner (Licence: IL 209023854) | |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2025-01-03 |