| NPI | 1740018241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209030342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041510680) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-09-25 |