| NPI | 1396955316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007907) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 070430) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-05-06 |