| NPI | 1750011391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025205) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704411249) |
| 363L00000X Nurse Practitioner (Licence: IN 71015590A) | |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-08-29 |