| NPI | 1518625904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024686) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-376228) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2024-09-05 |