| NPI | 1235568700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013038980) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209013018) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2025-03-05 |