| NPI | 1639261837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 041242941) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IL 209000721) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-06-10 |