| NPI | 1790224970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015465) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041415993) |
| 163W00000X Registered Nurse (Licence: MO 2012038003) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2017005258) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2020-10-07 |