| NPI | 1518281757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-007693) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 200932407) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2013-09-10 |