| NPI | 1063166379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.024908) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209024908) |
| 363L00000X Nurse Practitioner (Licence: IL 041402690) | |
| Enumeration Date | 2022-02-06 |
| Last Update Date | 2025-11-20 |