| NPI | 1366682700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007497) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2015-11-09 |