| NPI | 1891884169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209004264) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11001512) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-10-03 |