| NPI | 1083687040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001629) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041279291) |
| 363L00000X Nurse Practitioner (Licence: IL 209004461) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2021-12-01 |