| NPI | 1619681541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026672) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209.026672) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-10-20 |