| NPI | 1396320271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021945) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2020029095) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2023-11-06 |