| NPI | 1023328226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-016202) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4227) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2018-03-17 |