| NPI | 1558026526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026298) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 263338) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2023-01-31 |