| NPI | 1962865626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013666) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041384715) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2019-08-15 |