| NPI | 1922883578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209028483) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041.454630) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-03-13 |