| NPI | 1558803791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-015333) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041392023) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2021-03-10 |