| NPI | 1477172005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.021875) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.455907) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2023-01-27 |