| NPI | 1639116767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 153657) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209005848) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2023-03-28 |