| NPI | 1356730717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 62603) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2023-05-04 |