| NPI | 1174181903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11400-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.019181) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2022-02-25 |