| NPI | 1144913369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.027408) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A173541) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-12-12 |