| NPI | 1407418619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019877) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041325822) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2020-10-20 |