| NPI | 1639627326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 243686) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041396690) |
| 363LF0000X Nurse Practitioner Family (Licence: IL 209-015054) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2023-11-03 |