| NPI | 1073183364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-033123) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11013668) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013668) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2026-01-02 |