| NPI | 1487159943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209017646) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL F03180485) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-01-04 |