| NPI | 1497181333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012235) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013028357) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2017-11-09 |