| NPI | 1497385249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026368) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000216635) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2024-09-09 |