| NPI | 1831670942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209008590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041354633) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2021-12-23 |