| NPI | 1366896532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 4439) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2022-07-21 |