| NPI | 1962989624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041417384) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 377001525) | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2022-06-10 |