| NPI | 1801216973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041369156) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2015-03-23 |