| NPI | 1245857762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.021129) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996971-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10023562) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 278421) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-05-16 |