| NPI | 1710592175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209023096) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209023096) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL AG06200301) | |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2021-11-08 |