| NPI | 1598371189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021850) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041430477) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2024-12-14 |