| NPI | 1205423688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020026945) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022447) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2022-12-07 |