| NPI | 1457029944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209030128) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.446012) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209030128) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1108291) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2025-12-31 |