| NPI | 1346903127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2021038731) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 2021038731) |
| 363L00000X Nurse Practitioner (Licence: IL 209024212) | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2023-08-03 |