| NPI | 1710266903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277-002229) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 277-002229) |
| 363L00000X Nurse Practitioner (Licence: WI 14655) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2025-04-07 |