| NPI | 1730444597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11012287) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-009175) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2021-11-29 |