| NPI | 1083171813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001618) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018879) |
| 163W00000X Registered Nurse (Licence: IL 041409351) | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2026-03-25 |