| NPI | 1003151796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9404489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0001095) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 27701294) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.010052) | |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2024-01-18 |