| NPI | 1548637226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012856) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041292336) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2023-01-24 |