| NPI | 1093512444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.031738) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 38049) |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |