| NPI | 1356459432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.001637) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041204964) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2021-07-22 |