| NPI | 1770081598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001141) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001141) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017273) | |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2023-12-19 |