| NPI | 1225388176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209005704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041322316) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2021-03-24 |