| NPI | 1023508769 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 209017678)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209017678)  | 
| Enumeration Date | 2018-05-17 | 
| Last Update Date | 2024-07-23 |