| NPI | 1245590074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009568) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209009568) |
| Enumeration Date | 2012-05-27 |
| Last Update Date | 2019-02-20 |