| NPI | 1053092841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209027643) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 2022153126) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-06-03 |