| NPI | 1487463436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209031923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041484739) |
| Enumeration Date | 2025-01-04 |
| Last Update Date | 2025-03-18 |