| NPI | 1487848586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2583) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 871) |
| 363L00000X Nurse Practitioner (Licence: IL 209-006159) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2023-12-08 |