| NPI | 1609272491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6927-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209011884) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2020-12-18 |