| NPI | 1386954741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009339) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3177692) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2012-03-05 |