| NPI | 1770299489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-026807) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL NA) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-07-12 |