| NPI | 1205505799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.023610) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-04-24 |