| NPI | 1629337654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009533) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0136538) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2023-11-13 |