| NPI | 1306278130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010213) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL F1212018) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2015-06-08 |