| NPI | 1740782549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6549) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209016443) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2022-09-29 |