| NPI | 1235120486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7768) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006576) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2016-08-11 |