| NPI | 1275096810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209019161) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 209019161) |
| 363LF0000X Nurse Practitioner Family (Licence: IL 209019161) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2024-01-31 |