| NPI | 1619318003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041312911) |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2021-04-23 |