| NPI | 1033562558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-014448) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10005502) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2024-04-02 |