| NPI | 1356171110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-030206) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209030206) |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2025-04-15 |