| NPI | 1447789847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704328693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000819) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-11-25 |