| NPI | 1578162210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021626) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 209021626) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2022-05-19 |