| NPI | 1467087486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209020644) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.020644) |
| 207P00000X Emergency Medicine (Licence: IL 209.020644) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2022-12-14 |