| NPI | 1548662141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000158) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011911) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2021-12-07 |