| NPI | 1740854330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209023872) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041430943) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2023-06-30 |