| NPI | 1528291150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010502) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041411024) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2020-12-07 |