| NPI | 1821019969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000144) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-006100) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-01-15 |