| NPI | 1477196723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.020306) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041418355) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2021-07-07 |