| NPI | 1528460847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014034217) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209021651) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A004214) | |
| 363L00000X Nurse Practitioner (Licence: MO 2015000842) | |
| 363L00000X Nurse Practitioner (Licence: MO 2014034217) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2024-03-13 |