| NPI | 1346990983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.024935) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209024935) |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2022-10-24 |