| NPI | 1487125704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8902-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 290397) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0034241) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277001872) | |
| Enumeration Date | 2018-12-14 |
| Last Update Date | 2024-05-14 |