| NPI | 1255473732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-44869-061) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209005899) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 121002) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-04-30 |