| NPI | 1326890997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209030252) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: IL 041454400) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-10-21 |