| NPI | 1295162840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010745) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041-380081) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2021-04-30 |