| NPI | 1881142008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP032251) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2332917) |
| 363L00000X Nurse Practitioner (Licence: IL 209.014679) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2025-08-14 |