| NPI | 1255688305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7723) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009711) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2023-10-23 |