| NPI | 1972075752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018122) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: IL 209018122) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2025-11-14 |