| NPI | 1174718787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 2090061650) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: IL 209006650) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2021-04-09 |