| NPI | 1568013928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001344) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A182128) |
| 363L00000X Nurse Practitioner (Licence: MN 12210) | |
| 363L00000X Nurse Practitioner (Licence: TX 1089371) | |
| 363L00000X Nurse Practitioner (Licence: AZ 278913) | |
| 363L00000X Nurse Practitioner (Licence: IN 71015726A) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2025-05-02 |