| NPI | 1780156281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028277) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: IL 209028277) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209028277) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 377004192) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9296432) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9296432) | |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2025-10-10 |