| NPI | 1396091401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R213531) |
| 163W00000X Registered Nurse (Licence: IL 041344685) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R213531) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2021-09-07 |