| NPI | 1962831511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.002465) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H154347) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2025-06-03 |