| NPI | 1417284985 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7472) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007590) | 
| Enumeration Date | 2009-11-04 | 
| Last Update Date | 2021-02-01 |