| NPI | 1376882647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000985) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013002942) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2023-01-26 |