| NPI | 1912352089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277002559) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: IL 041.339902) |
| 363L00000X Nurse Practitioner (Licence: IL 041-339902) | |
| 363LF0000X Nurse Practitioner Family (Licence: IL 209.014672) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2024-03-26 |