| NPI | 1740991934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.026584) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041370995) |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2022-12-19 |