| NPI | 1972219624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209027852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041402742) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-07-14 |