| NPI | 1952880536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017576) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 377.003236) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277.003415) | |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2026-03-30 |