| NPI | 1487910121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017284) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041299522) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IL 041299522) | |
| 363L00000X Nurse Practitioner (Licence: IL 209017284) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2018-10-09 |