| NPI | 1356337224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-001032) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 106770) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2021-03-17 |