| NPI | 1568322980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-033987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 209033987) |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2026-04-07 |