| NPI | 1689263667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2021001527) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209022664) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2022-07-06 |