| NPI | 1841695400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012050) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 14866) |
| 363L00000X Nurse Practitioner (Licence: FL 11038770) | |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2026-08-03 |