| NPI | 1992583165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028292) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 209.028292) |
| 207Q00000X Family Medicine (Licence: IL 209.028292) | |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2025-12-16 |