| NPI | 1922706068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209027290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041446102) |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-05-08 |