| NPI | 1003107350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-025425) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 0038008429) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2023-05-19 |