| NPI | 1013312487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6125-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 149184-30) |
| 163W00000X Registered Nurse (Licence: IL 041-315722) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2023-12-07 |