| NPI | 1548655095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012499) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041361912) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2017-06-26 |