| NPI | 1447508080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007437) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.004001) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2025-09-16 |