| NPI | 1588164859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032879) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2018012136) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2025-09-09 |