| NPI | 1538706858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10857-033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209020317) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2021-11-30 |