| NPI | 1356744452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000276) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011759) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2023-07-05 |