| NPI | 1346722535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041378363) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2020-02-24 |