| NPI | 1326242629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006797) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041315906) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2014-02-19 |