| NPI | 1104126309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008395) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 208008395) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2024-02-06 |