| NPI | 1679506349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP01894) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209000432) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2016-12-15 |