| NPI | 1205350915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016238) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-10-05 |