| NPI | 1518390731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010589) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IL 209010589) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2020-01-07 |