| NPI | 1972042968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 18250) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2026-04-15 |