| NPI | 1467459834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019005041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN102335) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0689) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209009376) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2025-09-10 |