| NPI | 1417573734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.343075) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-11-10 |