| NPI | 1750030763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209025005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041519262) |
| 163W00000X Registered Nurse (Licence: FL RN9454043) | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-31 |