| NPI | 1962026625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021187) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1077860) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209021187) | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2025-08-29 |