| NPI | 1629762786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209027673) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 2023036962) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-09-19 |