| NPI | 1578918561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209014141) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2018007549) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2025-08-14 |