| NPI | 1235679887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7904) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209015698) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2021-03-31 |