| NPI | 1922604727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022449) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: IL 277003810) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2026-04-07 |