| NPI | 1801376884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018140) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2018024759) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2021-05-18 |