| NPI | 1649432287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277-002388) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.007658) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 1804) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2025-01-21 |