| NPI | 1689824096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3533) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-020278) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2025-09-02 |