| NPI | 1053858589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209015697) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2016039172) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2023-06-13 |