| NPI | 1013267608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009710) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11013811) |
| 163W00000X Registered Nurse (Licence: IL 041358950) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2026-03-04 |