| NPI | 1073798344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3307) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209021218) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2025-09-02 |