| NPI | 1083357537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209.025490) |
| 163WG0100X Registered Nurse Gastroenterology (Licence: IL 041451153) | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2023-09-19 |