| NPI | 1194273961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 13121) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209014939) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2026-02-04 |