| NPI | 1629469994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012503) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041377001) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |