| NPI | 1902266992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014174) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041398969) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2019-04-09 |