| NPI | 1457159105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A184060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 166527) |
| 163W00000X Registered Nurse (Licence: IL 041505260) | |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-05-30 |