| NPI | 1578193074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209020822) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 041415589) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2022-04-19 |