| NPI | 1144818071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020925) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2025-05-14 |