| NPI | 1063936219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9680) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015031) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2018-11-30 |