| NPI | 1194740514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.003905) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0033192) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704397286) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F351485) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71013806A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 1467233) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-12-11 |