| NPI | 1154021566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209027257) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: IL 041407664) |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: IL 041407664) | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-09-25 |