| NPI | 1639104672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000137) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209000544) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-10-23 |