| NPI | 1699319004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024272) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019056786) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2021-12-03 |