| NPI | 1457412124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-002080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041-195408) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-10-24 |