| NPI | 1568882603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R213320) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010839) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-10-30 |