| NPI | 1033360284 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018407)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-070547)  | 
| Enumeration Date | 2008-10-07 | 
| Last Update Date | 2024-08-13 |