| NPI | 1427036110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209 004807) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-004807) |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: IL 209004807) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2023-06-01 |