| NPI | 1154719102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.021234) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704378642) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R251860) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F342068) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 2014014705) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95015039) | |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2024-03-12 |