| NPI | 1609329572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2018018246) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 204014608) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2026-01-13 |