| NPI | 1205311677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 112248-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.018059) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-09-14 |