| NPI | 1477299139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704393179) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209025184) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2025-09-22 |