| NPI | 1093300998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.002944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.020426) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2025-08-23 |