| NPI | 1609952670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209006069) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041263753) |
| 363L00000X Nurse Practitioner (Licence: IL 209-006069) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2018-07-17 |