| NPI | 1063424836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209001362) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000435) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-10-22 |