| NPI | 1770360422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028334) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 41442787) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-12-15 |