| NPI | 1720678261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021635) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03996) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2026-07-16 |