| NPI | 1285481960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019772) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.029175) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-09-11 |