| NPI | 1134366081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704211774) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2025-11-04 |