| NPI | 1609433648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018940) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.412204) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2025-09-22 |