| NPI | 1518254077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009561) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX 719437) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2021-03-29 |