| NPI | 1205882933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209000104) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11006328) |
| 363L00000X Nurse Practitioner (Licence: OR 202103160NP-PP) | |
| 363L00000X Nurse Practitioner (Licence: TX AP136652) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-08-25 |