| NPI | 1396320461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209023053) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041466560) |
| 363L00000X Nurse Practitioner (Licence: VA 0024182424) | |
| 363L00000X Nurse Practitioner (Licence: FL 11014802) | |
| 363L00000X Nurse Practitioner (Licence: IN 71011229A) | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2022-02-11 |