| NPI | 1780314013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025474) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041320762) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-10-04 |