| NPI | 1619076239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041185070) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-000990) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-02-09 |