| NPI | 1265710321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209008848) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041204001) |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2019-10-15 |