| NPI | 1861885345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.012260) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041378041) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |