| NPI | 1609284355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209020155) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60489776) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2020-08-04 |