| NPI | 1013253699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017395) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012013994) |
| Enumeration Date | 2012-12-30 |
| Last Update Date | 2018-05-14 |