| NPI | 1699559674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209028080) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: IL 209.028080) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-12-05 |