| NPI | 1356885099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IL 209.015296) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015296) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.015296) | |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |