| NPI | 1134751332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.005264) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.434937) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2026-05-21 |