| NPI | 1982387635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209028432) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041470927) |
| 363L00000X Nurse Practitioner (Licence: IA A175855) | |
| 163W00000X Registered Nurse (Licence: IA 153131) | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2025-02-05 |