| NPI | 1528387990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61577203) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95032473) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 879948) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277003625) | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2025-04-11 |