| NPI | 1538442918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 263lf0000x) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2020-12-31 |