| NPI | 1720792617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209027052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041454399) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-05-04 |