| NPI | 1881494086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.031860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 209.031860) |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2026-07-09 |