| NPI | 1033372396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041177848) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2020-05-20 |