| NPI | 1386127660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-001408) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.018024) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2022-02-09 |