| NPI | 1558561241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11150) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006674) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2020-03-31 |