| NPI | 1033597844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A098850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012800) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 13973-33) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2023-06-19 |