| NPI | 1366189946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022011257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025147) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-06-13 |