| NPI | 1184997843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.398188) |
| 163W00000X Registered Nurse (Licence: IN 28170723A) | |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2021-10-30 |