| NPI | 1073714705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001727) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209006597) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-12-07 |