| NPI | 1427364298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209008326) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041341982) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2020-12-23 |