| NPI | 1053938332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033568) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020944) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2024-10-24 |