| NPI | 1245866805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021106) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041446654) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2022-04-18 |