| NPI | 1114943081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277-002486) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-005218) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209005218) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-12-17 |