| NPI | 1104647478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209029970) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209029970) |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2025-01-21 |