| NPI | 1972944510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-000470) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041359075) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209-010789) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2023-10-10 |