| NPI | 1346706215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209019147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL F02190758) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-06-07 |