| NPI | 1225007529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000099) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209004286) |
| 363L00000X Nurse Practitioner (Licence: IL 209004286) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-03-02 |