| NPI | 1467887497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A174120) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024938) |
| 163W00000X Registered Nurse (Licence: IL 041492648) | |
| 363L00000X Nurse Practitioner (Licence: IA A174120) | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2026-08-24 |