| NPI | 1164051595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041464105) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2021-06-28 |