| NPI | 1417626979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024016) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041.445008) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-02-21 |