| NPI | 1861201089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209031597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041482252) |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-02-20 |