| NPI | 1609272533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012104) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 10033) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2026-04-07 |