| NPI | 1225379514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-011027) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9255711) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2024-03-19 |