| NPI | 1013722206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032348) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041444240) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209032348) | |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-07-28 |