| NPI | 1871331942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209030144) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041438708) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-30 |