| NPI | 1134809304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.028015) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.480342) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2025-11-13 |