| NPI | 1457388464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015155) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 309-000830) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2022-02-28 |