| NPI | 1114861291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041523903) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2021004569) |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-04-17 |