| NPI | 1891899209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 2770022022) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2003021315) |
| 363LF0000X Nurse Practitioner Family (Licence: IL 209.006539) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2024-10-29 |