| NPI | 1952733727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5008733) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209010582) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2016-07-21 |