| NPI | 1649991423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028228) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041463544) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2024-09-25 |