| NPI | 1265763163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209007736) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 209.007736) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2021-12-20 |