| NPI | 1093537250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209031049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.559244) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-11-14 |