| NPI | 1992102404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 16295) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012599) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2025-04-03 |