| NPI | 1740511997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007814) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 816462) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2015-08-12 |