| NPI | 1124690300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209023711) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041402542) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-08-02 |