| NPI | 1760932016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209014576) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.014576) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2026-04-06 |