| NPI | 1699175596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209011814) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041374487) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2015-03-24 |