| NPI | 1316523285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-122958) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209022996) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209022996) | |
| 163W00000X Registered Nurse (Licence: AL 1-122958) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-01-03 |