| NPI | 1316720519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.028282) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: IL 041.454739) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-03-05 |