| NPI | 1467961748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11031123) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016544) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2024-03-06 |