| NPI | 1336659119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1353933) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209016040) |
| 363L00000X Nurse Practitioner (Licence: IL 277002280) | |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2024-07-19 |