| NPI | 1003808270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000186) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209002933) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2021-12-07 |