| NPI | 1467761684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6955-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.011446) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2010035186) | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2023-11-27 |