| NPI | 1346235033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209003061) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 309001020) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2010-05-29 |