| NPI | 1144481946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005732) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277000929) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2021-03-26 |