| NPI | 1740600311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP50000385) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209011407) |
| 363L00000X Nurse Practitioner (Licence: MD R254241) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2022-09-01 |