| NPI | 1043752421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209015425) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 014392116) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2017-02-07 |