| NPI | 1699958843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209006861) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209006861) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 109569) | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2024-10-07 |