| NPI | 1710222807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.009900) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IL 209009900) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2020-09-18 |