| NPI | 1497516280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.029706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041332374) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-05-20 |