| NPI | 1689027666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-014713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-274105) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2021-03-03 |