| NPI | 1902033699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006326) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041330785) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.336026) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2025-01-08 |