| NPI | 1578579470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209002626) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 036066331) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209002626) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-12-04 |