| NPI | 1417556812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.022106) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024887) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2024-06-11 |