| NPI | 1144733783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277002369) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60956072) |
| 363L00000X Nurse Practitioner (Licence: IL 209-016518) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60956072) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2024-06-26 |