| NPI | 1396134623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002083) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209012408) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2024-04-03 |