| NPI | 1528471059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001122) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041379726) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209-015602) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2023-03-29 |