| NPI | 1902379621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001371) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018034) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2023-12-29 |