| NPI | 1841805546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-021576) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 021576) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2026-02-26 |