| NPI | 1376764563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-006544) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-10-24 |