| NPI | 1912937673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2758-033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-029128) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2025-01-21 |