| NPI | 1881928992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018997) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: KY 6190S) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2024-04-24 |