| NPI | 1982153995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209015928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015928) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-140763) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2018-12-13 |