| NPI | 1902289879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012911) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IL 209012911) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2016-01-14 |