| NPI | 1427418656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704235359) |
| 363L00000X Nurse Practitioner (Licence: MI 4704235359) | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2022-08-09 |