| NPI | 1235644154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021977) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LJ-0000332) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2021-01-05 |