| NPI | 1568858223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012750) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041321035) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-06-03 |