| NPI | 1417695826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041413266) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-07-05 |