| NPI | 1649767005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016625) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2024-11-13 |