| NPI | 1194338160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021726) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 116433-33) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2026-07-22 |