| NPI | 1982335022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 209.025648) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: IL 209.025648) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A169408) | |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-12-30 |