| NPI | 1538825518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024554) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 3239860) |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2022-02-09 |