| NPI | 1477956357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001999) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 3-001999) |
| 363L00000X Nurse Practitioner (Licence: IL 209-011921) | |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2025-01-10 |