| NPI | 1720862055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 2017035984) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: IL 041369546) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |