| NPI | 1174150726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018627) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2019001390) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2019001390) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-04-10 |