| NPI | 1366910424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041432474) |
| 363L00000X Nurse Practitioner (Licence: IL 209018449) | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2023-02-03 |