| NPI | 1093214249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017520) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041399285) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2019-07-24 |