| NPI | 1447273156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2743-033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209022884) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-12-01 |