| NPI | 1396909412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041283100) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2020-05-22 |