| NPI | 1780834747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007255) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010036627) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2018-05-10 |