| NPI | 1184942104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A175987) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.008043) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 280850027A) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2023-10-13 |