| NPI | 1811281306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008722) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IL 21700682) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2026-01-05 |