| NPI | 1528399029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F336152-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019109) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2024-08-14 |