| NPI | 1518105212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007460) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2021-07-08 |