| NPI | 1821197583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024770) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 074654) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-07-30 |