| NPI | 1285033076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020007237) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011557) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2022-05-16 |