| NPI | 1649805623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-020791) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.020791) |
| 364SX0200X Clinical Nurse Specialist, Oncology (Licence: IL 209-020791) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-12-21 |