| NPI | 1326755430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022041429) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209026931) |
| 207Q00000X Family Medicine (Licence: MO 2022041429) | |
| 207Q00000X Family Medicine (Licence: CA 95037333) | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2025-11-17 |