| NPI | 1477919520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 26614) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209013758) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2020-08-04 |