| NPI | 1346695095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209014249) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 6877-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209014249) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2025-03-19 |