| NPI | 1407366842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-016663) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14993) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 14993) | |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2025-07-03 |