| NPI | 1083361430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209028825) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041369541) |
| Enumeration Date | 2022-03-06 |
| Last Update Date | 2024-04-25 |