| NPI | 1962269704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023011243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027261) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2026-05-01 |