| NPI | 1578377198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032258) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041386441) |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-06-19 |