| NPI | 1184968265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-009940) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 209009940) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-03-17 |