| NPI | 1851932362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209030200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 431624) |
| Enumeration Date | 2019-10-06 |
| Last Update Date | 2024-10-01 |