| NPI | 1225088636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000681) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209004305) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2021-05-20 |