| NPI | 1255542718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-004281) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041271088) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-06-18 |