| NPI | 1760267736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024612) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2023038671) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2024-04-04 |