| NPI | 1568991206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A176139) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209015975) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-04-18 |