| NPI | 1073700357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN002162) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 309003520) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2017-05-16 |