| NPI | 1114581683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 086963-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.019345) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH EL07941) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2022-03-07 |