| NPI | 1982898144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007004) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2006037731) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2009-09-01 |