| NPI | 1457246787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032646) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704347001) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-08-18 |