| NPI | 1326474859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2019002764) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019188) |
| 363L00000X Nurse Practitioner (Licence: MO 2019002764) | |
| 363LF0000X Nurse Practitioner Family (Licence: IL 209019188) | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2023-04-03 |