| NPI | 1265926711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017359) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041462702) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-03-30 |