| NPI | 1295819688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.001220) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 277.001220) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 209.005660) | |
| 363L00000X Nurse Practitioner (Licence: IL 209005660) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001220) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209-005660) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-02-03 |