| NPI | 1144990532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10866-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209025667) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2023-09-22 |