| NPI | 1942557285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-009828) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041366482) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2024-03-07 |