| NPI | 1457927790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-199084) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041395294) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277004027) | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2025-05-19 |