| NPI | 1205375151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1000541) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209015577) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2023-07-14 |