| NPI | 1447016142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A178322) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A178322) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209031101) | |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-01-13 |