| NPI | 1902416134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021685) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209.021685) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2023-08-01 |