| NPI | 1760959209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209018648) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.405551) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-06-29 |