| NPI | 1326068487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 20737) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-005688) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-10-15 |