| NPI | 1922059757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009527) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2650) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2016-11-21 |