| NPI | 1609060870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000865) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-004998) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277000865) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2025-03-10 |