| NPI | 1992384754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 257386) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041441675) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2023-05-03 |