| NPI | 1629572649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A111366) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-03-29 |