| NPI | 1831553908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2015040590) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209013900) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2025-03-31 |