| NPI | 1326510884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.030769) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343852-1) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2025-02-26 |