| NPI | 1265839625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041369433) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2023-09-12 |