| NPI | 1982008397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9419492) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.010915) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2022-08-15 |