| NPI | 1447962378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209026137) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041290158) |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2023-06-20 |