| NPI | 1407239478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013095) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H113792) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2021-11-02 |