| NPI | 1265076087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9664) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277.004600) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2025-10-09 |