| NPI | 1912212598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13435) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277-004357) |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2026-01-26 |