| NPI | 1922600873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024875) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041427005) |
| 163WE0003X Registered Nurse, Emergency (Licence: IL 041427005) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209024875) | |
| Enumeration Date | 2020-11-14 |
| Last Update Date | 2024-02-09 |