| NPI | 1013319623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 309007641) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |