| NPI | 1518403823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018794) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018794) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 21981) | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2023-12-20 |