| NPI | 1972476976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209033109) |
| Additional Taxonomies | 2085N0700X (Licence: IL 209.033109) |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-11-17 |