| NPI | 1730707316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025862) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041456516) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2022-11-29 |