| NPI | 1679137855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018892) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 209018892) |
| 363L00000X Nurse Practitioner (Licence: IL 209018892) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-06-05 |