| NPI | 1093022048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 041-340711) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP011384) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2013-06-24 |