| NPI | 1437616836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018826) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041307510) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-05-22 |