| NPI | 1841758802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041402463) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209020422) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2020-09-23 |