| NPI | 1487910576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041331399) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2019-10-15 |