| NPI | 1366115859 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL F06212479) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11015226) | 
| 363LF0000X Nurse Practitioner, Family (Licence: ND R51555) | |
| Enumeration Date | 2021-07-29 | 
| Last Update Date | 2022-12-28 |