| NPI | 1437634748 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017675) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 209017675) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2022-06-15 |