| NPI | 1053450494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209000424) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 041287164) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-04-15 |