| NPI | 1306899182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041-296072) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 0041296072) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-08-05 |