| NPI | 1780272294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022622) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041329567) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 1780272294) | |
| Enumeration Date | 2021-01-10 |
| Last Update Date | 2022-09-07 |