| NPI | 1982070959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041376253) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2016-07-06 |