| NPI | 1528311495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013621) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A115786) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2021-05-03 |