| NPI | 1467877407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011261) |
| Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: IL 209011261) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2024-06-28 |