| NPI | 1932765278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017562) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.017562) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2026-02-26 |