| NPI | 1518501451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209019704) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2019039803) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2022-07-05 |