| NPI | 1871921429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-010821) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H114268) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2023-08-11 |