| NPI | 1235851791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026146) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: IL 041.431593) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-01-30 |