| NPI | 1770185852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022378) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041396430) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-12-02 |