| NPI | 1083658082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209005934) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041350467) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209-005934) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2022-11-16 |