| NPI | 1083256572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277002619) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209020213) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2023-06-05 |