| NPI | 1427532100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209030447) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: MO 2018004949) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2024-10-14 |