| NPI | 1780928689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14808-033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009919) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-03-07 |