| NPI | 1750736039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-014316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-336785) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-06-07 |