| NPI | 1083397418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-030605) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041529173) |
| 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: MO 2018020114) | |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2025-03-20 |