| NPI | 1356974786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209024181) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: IL 041.305772) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2022-02-09 |