| NPI | 1902366164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277003624) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019026) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2025-06-13 |