| NPI | 1891943007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209015632) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2002021540) |
| 163W00000X Registered Nurse (Licence: IL 041450376) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 46238) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2026-05-29 |