| NPI | 1174278618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024845) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041412933) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2024-11-04 |