| NPI | 1124611686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209020524) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209020524) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2024-01-17 |