| NPI | 1235785403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.020061) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H156091) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2020-02-13 |