| NPI | 1700559911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209023796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041414988) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2022-08-02 |