| NPI | 1649657024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-012789) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209012789) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2017-08-24 |