| NPI | 1013117209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704244368) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.359773) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2018-11-29 |