| NPI | 1720888936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.031433) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209.031433) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.031433) | |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-06-05 |