| NPI | 1861013823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.003210) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 277003210) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2024-06-10 |