| NPI | 1437148160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC rn1002095) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-290224) |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2023-08-23 |