| NPI | 1265974604 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015152) | 
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 209015152) | 
| Enumeration Date | 2016-11-16 | 
| Last Update Date | 2022-06-09 |