| NPI | 1689112492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7507) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277002330) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2025-09-09 |