| NPI | 1346286069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209005837) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 41259113) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-04-12 |