| NPI | 1497293757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.015411) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11026603) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2026-03-19 |