| NPI | 1376937474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012484) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: IL 209012484) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2026-05-11 |