| NPI | 1568982742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016212) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 277.000734) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2020-07-09 |