| NPI | 1518444512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A138731) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209021846) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2024-02-01 |