| NPI | 1679103782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032670) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013516) |
| 163WE0003X Registered Nurse, Emergency (Licence: NC 292984) | |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2025-10-29 |