| NPI | 1245434851 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209009541)  | 
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: IL 209004602)  | 
| Enumeration Date | 2007-06-14 | 
| Last Update Date | 2021-03-12 |