| NPI | 1447913207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024140) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2021038565) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |