| NPI | 1326594474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7204) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-020875) |
| 363L00000X Nurse Practitioner (Licence: IN 71011740A) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2024-07-01 |