| NPI | 1427485945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704362045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010632) |
| Enumeration Date | 2013-09-29 |
| Last Update Date | 2024-06-24 |