| NPI | 1710608104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209026163) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041399105) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-10-17 |