| NPI | 1356023345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.033111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 352552) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2026-01-16 |