| NPI | 1538665609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017428) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 16006-33) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-12-18 |