| NPI | 1568012292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021099) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IL 04136825) |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2020-05-13 |