| NPI | 1669481289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209006120) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IL 209-006120) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-10-04 |