| NPI | 1205471679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209022469) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9803-33) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2023-04-11 |