| NPI | 1417293341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009949) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2023-10-11 |