| NPI | 1932675006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.002987) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209018155) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2024-03-13 |