| NPI | 1568789287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9175263) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209030712) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2024-12-13 |