| NPI | 1023479417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209013960) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041378934) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |