| NPI | 1629586946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277002498) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: IL 209.016909) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2024-04-30 |