| NPI | 1891200176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209016756) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041388809) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2022-09-13 |