| NPI | 1619123353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041273311) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 377.003351) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2024-10-30 |