| NPI | 1922410117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000446) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209011295) |
| 163W00000X Registered Nurse (Licence: IL 041343828) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2024-11-19 |