| NPI | 1912162629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041-2610329) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2015-05-15 |