| NPI | 1225344153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 041372167) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A112901) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2013-04-11 |