| NPI | 1497697536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-035241) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.433161) |
| Enumeration Date | 2026-04-07 |
| Last Update Date | 2026-06-16 |