| NPI | 1306864806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000399) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP329599) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209006743) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-11-04 |