| NPI | 1407365174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-016713) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL F08171104) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2024-01-05 |