| NPI | 1457721946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013300) |
| Additional Taxonomies | 209800000X Legal Medicine (Licence: IL 013300) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2019-06-19 |