| NPI | 1326011222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209003835) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 209003835) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2016-03-14 |