| NPI | 1942698980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000444) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012364) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2023-03-08 |