| NPI | 1457681835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA H161918) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.360387) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2021-08-12 |