| NPI | 1194968602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209004749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209004749) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2019-06-24 |