| NPI | 1659001717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041397332) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025537) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-09-01 |