| NPI | 1942649181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5534) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041-374413) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2018-03-17 |