| NPI | 1245871243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019035271) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020143) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2024-08-22 |