| NPI | 1770172611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.022711) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041343623) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 041343623) | |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2023-02-15 |