| NPI | 1619529138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001403) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019386) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2024-02-09 |