| NPI | 1578112603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209020018) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041-424221) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2021-06-29 |