| NPI | 1083623573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-002276) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: IL 209-002276) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-05-04 |