| NPI | 1629716774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.025269) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.525075) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-06-02 |