| NPI | 1407991417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 41215201) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209002797) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2009-04-30 |