| NPI | 1497318950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209-019157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041463911) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2022-08-31 |