| NPI | 1578117024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209030804) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000838) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2025-04-11 |