| NPI | 1487484176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024001079) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029638) |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2026-01-05 |