| NPI | 1417386590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-010568) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 209.010568) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2018-08-09 |