| NPI | 1467174433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209027812) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 13143) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2026-03-30 |