| NPI | 1942031539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209030422) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041416263) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-12-13 |