| NPI | 1003373200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2019005033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2019005033) |
| 363LF0000X Nurse Practitioner Family (Licence: IL 041427324) | |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2024-12-06 |