| NPI | 1134664303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 23047) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209015234) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2019-08-12 |