| NPI | 1194366401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2019034491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020048) |
| 363L00000X Nurse Practitioner (Licence: IL 734660) | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2025-01-02 |