| NPI | 1255408241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041255720) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209003235) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2025-09-11 |