| NPI | 1366440851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 3944-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.554677) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2025-12-15 |