| NPI | 1932449345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209010417) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041358278) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2014-03-03 |