| NPI | 1790561173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209028593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 041.449762) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-01-24 |