| NPI | 1497408314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 75418) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.024502) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2024-10-16 |