| NPI | 1629263793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001091) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 209006748) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209006748) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2021-12-28 |