| NPI | 1457967473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021839) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11008909) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2021-12-28 |