| NPI | 1255528147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4682) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-006564) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2024-04-18 |