| NPI | 1679129985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020172) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IA A155112) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A155112) | |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2023-02-02 |